Symposium Registration Number *(Hands-on participants must be registered as symposium participants to get the registration number, please look at the invoice and confirmation email sent by the committee)Full Name *Email Address *Phone *(WhatsApp number is preferred)Profession *General PractitionersOther (Undergraduates, Specialists)(Choose one following category)Hands-On Registration *[HO1] Dr. Dwi Putri Wulansari & Dr. Mukhtar Nur Anam - Radiology-Minor Oral Surgery- 6 June 2026 (14.00-17.00)[HO2] Dr. Aga Satria & Dr. Wahyuni Suci - Radiology Endodontic - 6 June 2026 (10.00-14.00)[HO3] Dr. Muhammad Fadil Hidayat - Avoiding DIagnostic Pitfalls in Panoramic and Cephalometric: A Case Based Workshop - 6 June 2026 (08.00-10.00)(Each participant may participate in more than one hands-on, please refer to the provided schedule for the date and time of each workshop)Total Invoice AmountRp.(Total Invoice to Be Paid)PaymentTransfer BankBank MandiriNo. Account 152-0000-996161a/n Simposium Nasional XIII IKARGIUpload Proof of PaymentChoose FileNo file chosenDelete uploaded fileConsent *All funds paid to the committee are non-refundable for any reason, except in the event of cancellation or other force majeure conditions. I have read and agree to this statement.SUBMIT